Individual
DR. ALAN PETROSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1264 WYOMING AVE, FORTY FORT, PA 18704-4138
(570) 288-8795
(570) 718-1786
Mailing address
36 COSLETT LN, HUNLOCK CREEK, PA 18621-4014
(570) 477-5608
(570) 477-5542
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS008935L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0853152
—
OH
Enumeration date
11/26/2005
Last updated
08/14/2012
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